NPI | 1104468891 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71009594A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28172343A) |
Enumeration Date | 2019-10-14 |
Last Update Date | 2019-12-06 |